七氟烷复合利多卡因表面麻醉在小儿唇腭裂麻醉诱导中的应用  

Application of Sevoflurane Combined with Lidocaine for Topical Anesthesia in the Induction of Cleft Lip and Palate Anesthesia in Children

作　　者：汪吉明 龙其宝[1] 刘淑萍 梁火生 武彬 WANG Ji-ming;LONG Qi-bao;LIU Shu-ping;LIANG Huo-sheng;WU Bin(l.Shajing People’s Hospital of Bao’an,Shenzhen,Guangdong,518104,China;Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,Guangxi,530011,China;Suzhou Science and Technology Town Hospital,Suzhou,Jiangsu,215153,China)

机构地区：[1]深圳市宝安区沙井人民医院,广东深圳518104 [2]广西中医药大学附属瑞康医院,广西南宁530011 [3]苏州科技城医院,江苏苏州215153

出　　处：《中国血液流变学杂志》2019年第2期177-179,F0003,共4页Chinese Journal of Hemorheology

基　　金：广西自治区卫生和计划生育委员会自筹科研课题(Z20170733)。

摘　　要：目的评价七氟醚复合利多卡因表面麻醉在小儿唇腭裂手术中应用的临床效果.方法40例ASAⅠ-Ⅱ级的唇腭裂患儿随机分为2组,每组20例.A组采用氯胺酮进行麻醉诱导,B组采用七氟烷复合利多卡因.比较两组患者的诱导时间、插管时保留自主呼吸情况、呛咳情况、苏醒时间等.结果所有患儿均顺利完成诱导和插管过程.与传统氯胺酮诱导麻醉方法比较,诱导时间、苏醒时间缩短,七氟烷复合利多卡因表面麻醉在插管时保留了自主呼吸.结论在唇腭裂手术麻醉中,七氟烷复合利多卡因表面麻醉为小儿麻醉诱导提供了另外一种方法,不亚于传统的氯胺酮麻醉诱导方法.Objective To evaluate the clinical benefit of sevoflurane combined with lidocaine for topical anesthesia for cleft lip and palate repair in children. Methods 40 ASA Ⅰ-Ⅱ children undergoing elective cleft lip and palate repair were randomly divided into two groups, 20 in each group. Anesthesia induction was performed with ketamine in group A, and sevoflurane combined with lidocaine in group B. The induction time, retention of spontaneous respiration during endotracheal intubation, choking cough and awakening time were compared between the two groups. Results All children finished the process of induction and intubation uneventfully. Compared with the traditional ketamine induced anesthesia, the method of sevoflurane combined with lidocaine retained spontaneous breathing during intubation and the induction time and awakening time were shorter. Conclusion Sevoflurane combined with lidocaine for topical anesthesia provides another method for anesthesia induction in cleft lip and palate repair, which is no less than the traditional ketamine anesthesia induction method.

关 键 词：七氟烷 利多卡因 麻醉 小儿 

分 类 号：R614.2[医药卫生—麻醉学]